Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Condace Dornella Cooper, LD

Individual provider Registered Dietitian · NPI 1396987665

Condace Dornella Cooper, LD is a Registered Dietitian in Quitman, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

903 N Court St
Quitman, GA 31643-1315
Phone: (229) 263-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD003261 (GA)

Record details

NPI number1396987665
Entity typeIndividual (Type 1)
GenderFemale
Credentials LD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESApril 1, 2009